Idaho
Division of Occupational and Professional Licenses
CHERLYNN GOFF FACKRELL
Board Of Medicine
License number
D-227
Date granted
08/29/1995
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
790 Creekside Circle POCATELLO ID 83204
idaholicensing.com
ID 48329316
LAST UPDATED 2024-02-15 07:59:33 UTC
LAST UPDATED 2024-02-15 07:59:33 UTC
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